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Cairns Consensus Statement on Rural Generalist Medicine
National Rural Health Strategy
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Notes For Speaking to MPs
Child and Youth Mental Health Project Needs Assessment Survey
Proceedings From the GP Surgery
Symposium, June 2007
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Links (English and French) to the CFPC website featuring a collection of 10 SOOs as exam preparation resources. http://www.cfpc.ca/SOOs/ or http://www.cfpc.ca/Entrevues_médicales_simulées/
Society Policy and Discussion Papers
Guidelines and PDA Aids
A Rural Doc's Reviews
- Discussion Paper on Rural Hospital Service Closures. April 2009.
- Admission of Rural Origin Students to Medical School: Recommended Strategies to support rural medicine. April 2004.
- A Policy Paper on Regionalization: Recommended Strategies to support rural medicine. April 2004.
- Presentation on Strengthening the Medical Workforce in Canada. The Role of Rural/Northern Medical Education - Michael Jong.
- A Policy on Primary Care Renewal to support rural medicine. April 2003.
- Canada has always depended on International Medical Graduates (IMGs) to care for Canadians. The SRPC IMG policy describes the measures needed to deal with IMG's ethically and fairly. November 2002.
- How do you train a GP/FP anesthetist and keep their competency levels high? These issues are described with recommendations in The Position Paper on Training for Family Physicians in Anaesthesia. This paper has been prepared by a working Group of the Society of Rural Physicians of Canada in cooperation with the College of Family Physicians of Canada and the Canadian Anesthesiologists' Society. Énoncé de principe conjoint sur la formation en anesthésiologie pour les médecins de famille du milieu rural. November 2001.
- Rural Healthcare: The chasm not crossed. April 11, 2002. The Future of Rural Health Care. August 14, 2001. SRPC submission to the Romanow Commission.
- The State of Rural Health in Canada - a May 31, 2001 SRPC presentation to the Kirby Commission, and in French as well as the (unofficial) transcript.
- Primary Care Renewal - Rural Perspectives on Templates. SRPC Ontario Region. March 7, 2001.
- Primary Care Reform - A Rural Perspective. A Discussion Paper of the SRPC Ontario Region. January 27, 2000.
- Hear an excerpt from the 2000 Policy Day Conference on Working Conditions. 2000.
- The official SRPC comment on the 1999 Barer and Stoddart report.
- Policy guideline on financial sponsorship and the SRPC. 1999.
- Nurse Practitioners and Rural Medicine: Voices From the Field.
Report from the 1998 SRPC Special Conference Day. Five resolutions approved by the conference participants 1. There should be a national process to develop guidelines for the scope of practice of nurse practitioners. 2. There is an enhanced skill set and education required by nurse practitioners. 3. The activities within the role of nurse practitioners are location specific. 4. Funding models must be developed to enhance cooperative and collaborative care. 5. Innovative education is needed to provide core competency and an enhanced skill set.
- We have only two or three training programs in the Country for FP-Surgery, but it remains an essential service, especially in more remote regions. The Position Paper on Training for Family Physicians in Surgery, is in draft format for discussion pending review by the SRPC council.
- The ability to provide cesareans on site is not essential, but is very helpful to provide safe on site maternity care for over 90% of pregnant women in the community. The Policy on Advanced Training in Rural Maternity Care Including Caesarean Version 11 has been approved by SRPC, SOGC and CFPC councils and published in English and French in journals of the organizations in 1999.
- The Society of Rural Physicians of Canada published a discussion paper on Physician on-call frequency in CJRM. Communities or facilities with less than 5 physicians available to share the after-hours work, should not require these physicians to provide continuous 24-hour per day coverage. 1998.
- Rural doctors do not need caesarean capability on site to practice safe maternity care, but this will limit them to attending about 60% of the communities deliveries. Policy on Rural Maternity Care. Spring 1998. It is also available in French.
- Recruitment and Retention Policy Conference report Banff. 1996 - CJRM1997 V2 N1.
- The Society of Rural Physicians - Policy Agenda/Outline. 1995.
These are highly abridged and lightly editorialized versions of various rural documents.
Rural Relevant Papers
Rural Medicine Articles
- The Fyke Commission on Medicare Report. This 2001 paper suggests closing all remaining GP run rural hospitals in Saskatchewan.
- Health Canada Rurality and Physician Supply Paper. This 1999 report predicts worsening doctor to population ratios in rural Canada through 2021. There is also a report on what rural doctors think contributes to the ruralness of a community.
- Barer Stoddart 1999. This "dynamic duo" of academics released a discussion paper September 16, 1999, entitled Improving Access to Needed Medical Services in Rural and Remote Canadian Communities: Recruitment and Retention Revisited. (Full Report) They are unrepentant on an earlier paper of theirs that resulted in reducing medical school admissions in Canada by 10%, (SRPC comment) but agree that more of the same is not a viable option and call for reform.
- The SRPC-ON PAIRO Blueprint. In the spring of 1998 the SRPC, Ontario Regional Committee and The Professional Association of Intern and Residents of Ontario convened 12 prominent physicians from across the country to produce a blueprint for addressing physician recruitment and retention in rural and remote Ontario. Alternately, view the entire report.
- The Scott Report is the landmark Ontario document that established that being "on call" had value in low volume ER's.
- The Dobbin Report is the document that ended work action in northern BC and established that being "on call" had value for GP anaesthetics etc. Alternately, read the full text.
- The Australian Solution is by far the most unique document, because it describes a rural solution that actually works!
- The PAIRO Report gives the resident's perspective. Refreshing.
- The WONCA paper is the rural training document that is given lip service everywhere, but rarely has been read. Alternately, read the entire report.
- The CMA Report of 1992 demonstrates trends of increasing or stable rural population and decreasing rural physician population. If only it's recommendations had been implemented back then...
Rural Emergency Medicine
- Needs of Rural Physicians. In order to assure sustainable physician based health care services in a rural community, one must ensure that there is enough volume of a wide enough range of services to allow sufficient funding for enough doctors to be able to support each other in a reasonable call schedule. Hal Irvine MD FCPC, Carol Rowntree MD CCFP, Jim Thompson MD CCFP (EM). November 22, 1994.
- Rural Midwifery. To the old and now illegal unlicensed practitioners these new health professionals are "midwives in suits." Can this new breed help sustain maternity care services for rural women, or are they yet another establishing force, brought in from outside? Peter Hutten-Czapski MD CCFP. August 16, 1999.
- Rural Physicians' Perspective of Midwifery in Sundre, Alberta. Rural family physicians and midwives philosophically share much in common. Continuity of care, family-centered care and providing non-interventionist care of low risk pregnancies and deliveries are central tenets to both groups. Carol Rowntree MD CCFP, Hal Irvine MD CCFP FCFP, Jim Thompson MD CCFP (EM), Darren Larsen MD, Janet Morse MD CCFP. December 22, 1994.
- Toward Development of a National Rural Health Strategy. A report of the National Liberal Rural Caucus, April 30, 1999. Associated Press Release.
- Barer and Stoddart released a discussion paper on September 16, 1999, entitled Improving Access to Needed Medical Services in Rural and Remote Canadian Communities: Recruitment and Retention Revisited. (Full report - Official SRPC comment - Unofficial rural review) They are unrepentant on an earlier paper of theirs that resulted in reducing medical school admissions in Canada by 10%.
- A Position Paper Prepared for Rural Health Research in the Canadian Institutes of Health Research. 1999.
- Rural Critical Care. Jim Thompson MD CCFP (EM), Keith MacLellan MD CM, Tom O'Neill MB, BcH, CCFP. June 27, 1996.